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All Journal Cermin Dunia Kedokteran Journal of General-Procedural Dermatology & Venereology Indonesia
Hartanto, David Dwiadiputra
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Health Professions Medicine & Pharmacology Public Health

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Diagnosis dan Tatalaksana Tinea Imbrikata Hartanto, David Dwiadiputra
Cermin Dunia Kedokteran Vol 47, No 12 (2020): Dermatologi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (181.06 KB) | DOI: 10.55175/cdk.v47i12.1240

Abstract

Tinea imbrikata merupakan dermatofitosis superfisial kronik yang sering kambuh, terutama mengenai individu di lingkungan primitif dan terisolasi. Penyakit ini disebabkan oleh dermatofita antropofilik, yaitu Tricophyton concentricum. Indonesia masih termasuk daerah endemis. Penularan melalui kontak erat dengan orang terinfeksi. Faktor predisposisi termasuk faktor kelembapan, keturunan, dan imunologi. Terapi terbaik menggunakan terbinafine dan griseofulvin oral dengan kombinasi keratolitik topikal. Terapi adekuat, eliminasi faktor predisposisi, dan sumber infeksi penting untuk mengurangi kekambuhan.Tinea imbricata is a chronic and often recurrent superficial dermatophytosis, mainly affects individuals living in primitive and isolated environment. Tinea imbricata caused by anthropophilic dermatophyte, Trichophyton concentricum. Indonesia is still an endemic area. Transmission is through close contact with an infected person. Predisposing factors include humidity, heredity, and immunology. Best therapy is oral terbinafine and griseofulvin combined with topical keratolytic. Adequate therapy, elimination of predisposing factors, and source of infection are important to reduce recurrence.
Empowering nonmedical personnel to detect scabies in endemic area using DeSkab instrument: A diagnostic study Widaty, Sandra; Kekalih, Aria; Friska, Dewi; Bramono, Kusmarinah; Sari, Siti Maulidya; Darmawan, Irene; Sujudi, Yufanti; Hartanto, David Dwiadiputra; Kartika, Emiliana; Oktavia, Nikken Rima
Journal of General - Procedural Dermatology & Venereology Indonesia Vol. 8, No. 1
Publisher : UI Scholars Hub

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Abstract

Background: Scabies has been added to World Health Organization (WHO) list of neglected tropical disease in 2017. Various methods have been developed to control scabies in highly prevalent communities. In this study we conducted a diagnostic study to evaluate the performance of scabies detection by trained nonmedical personnel (NMP) using Deteksi Skabies (Deskab) instrument which has been validated for NMP. Methods: Eight NMPs in a boarding school were trained to detect scabies using DeSkab instrument. The NMPs diagnosis were compared to diagnosis of 10 medical doctors. The study was conducted in a religion-affiliated boarding school in West Java, Indonesia. Both examiners consecutively assessed boarding school students using DeSkab instrument and were blinded to each other findings. Results: Among 140 participants included in this study, scabies was confirmed by medical doctors in 60 participants. Diagnostic accuracy of NMPs examination is 72.14% [95% confidence interval (CI) 64.2-78.9], with sensitivity and specificity 67.42% (95% CI 57.13-76.26), and 80.32% (95% CI 67.54-88.98) respectively. The inter-rater agreement (Cohen’s kappa) for diagnosing scabies is 0.44. Conclusion: NMPs can be trained to detect scabies in their community with acceptable accuracy. Improving training are recommended to further improve the diagnosis skills and maintaining sustainable detection program.
Co-Authors Aria Kekalih Darmawan, Irene Dewi Friska Kartika, Emiliana Kusmarinah Bramono Oktavia, Nikken Rima Sandra Widaty Sari, Siti Maulidya Sujudi, Yufanti